A variety of common and serious dermatologic complaints are encountered in primary care practice. This compact slide show provides visual presentations of skin problems that may be seen on the face.
The top men's health concerns include heart disease, cancer, accidents, and chronic lower respiratory diseases. This compact slide show provides visual presentations of other clinical problems that pose a threat to men and that might be seen in primary care practice.
Older patients may have 6 or more diagnosable disorders, which can complicate diagnosis and treatment. This compact slide show provides visual presentations of various problems.
ASH is the largest organization of hypertension researchers and health care providers in the United States committed to preventing and treating hypertension and its consequences. The editors of ConsultantLive bring you updates from the 2013 ASH conference in San Francisco, CA. Read More
Prominent, pigmented polyangular scales on the extensor surfaces of the arms, legs, and trunk suggested recessive X-linked ichthyosis. More in this article.Read More
More than 1300 physicians of all specialties responded to the 2012 survey. Many of the respondents are primary care physicians. See how your colleagues responded and learn what concerns them most.Read more
The mother of an 8-year-old girl sought medical care for her daughter who had complained of intermittent chest pain for 3 days. The patient denied nausea, vomiting, and diarrhea. There was no shortness of breath, chills, fever, or diaphoresis.
Persistent bloating, epigastric discomfort, and increased gastric acidity prompted a 47-year-old woman to seek medical care. Gastroesophageal reflux disease was diagnosed; antacids and H2-blockers were prescribed but provided no relief.
For the past 3 years, comedones, papules, pustules, and nodules had been erupting on the face of a 16-year-old boy. Acne vulgaris had been diagnosed. Topical tetracycline cream and oral tetracycline were used without success.
This obstruction results from hypertrophy
of the circular and longitudinal
muscularis of the pylorus and the distal
antrum of the stomach. It occurs
in approximately 3 of every 1000 live
births and is 4 times more common
in boys. Pyloric stenosis (PS) is relatively
uncommon in African American
and Asian infants. The observation
that it occurs primarily in first-born
infants has been disputed.
This disorder occurs in fetal development,
when the midgut supplied by
the superior mesenteric artery grows
too rapidly to be accommodated in
the abdominal cavity. Prolapse into
the umbilical cord occurs around the
sixth week of gestation. Between the
tenth and eleventh weeks, the midgut
retracts from its location at the exocelomic
umbilical stalk back into the
abdominal cavity. During this return,
the midgut undergoes a 270-degree
counterclockwise rotation about the
axis of the superior mesenteric artery,
followed by fixation to the posterior
abdominal wall. Malrotation
results from failure of the midgut to
properly rotate and affix itself to this
wall. This disorder occurs approximately
once in 500 live births.
Alimentary tract duplications are uncommon. Gastric duplication accounts for only 3.8% of these duplications. The cause is not known, but faulty separation of the endoderm and notochord early in embryonal development is thought to be responsible. The anomaly occurs in twice as many female as male infants.
Painful erosions developed on the sole of a 14-year-old girl's foot several weeks
earlier. Within the last few days, the condition has spread to the other sole.
The patient is otherwise healthy and takes no medications. She enjoys playing
soccer and has no history of trauma.
Adhesions (A) can form within the
peritoneal cavity after abdominal
surgery, especially if there is an underlying
inflammatory condition such
as appendicitis (B) or inflammatory
bowel disease. The incidence of adhesive
intestinal obstruction following a
laparotomy is approximately 2%. Most
adhesive obstructions occur within 3
months of the laparotomy, and 80%
occur within 2 years. Adhesive obstructions
tend to be more common
in children than in adults.
Four pink nodules appeared in a linear array on the proximal extensor right forearm of a 77-year-old man. The asymptomatic lesions, which ranged from 0.5 to 1.0 cm in diameter, had been present for 2 months.
The ConsultantLive.com podcast archive includes the series Cardiology Now—discussions between Dr Payal Kohli of the University of California San Francisco and experts in cardiovascular medicine including Drs Christopher Cannon, Deepak Bhatt of the TIMI study group at Harvard and Dr Roger Blumenthal, Director of the Ciccarone Center for the Prevention of Heart Disease at Johns Hopkins. See More Multimedia »
Videos
Featured in this section are short videos of practical dermatology webinars given by Dr Ted Rosen, Professor of Dermatology at Baylor College of Medicine and Chief of the Dermatology Service at the Veterans Affairs Medical Center, both in Houston, Texas. Each segment offers concise, practical clinical guidance on a specific dermatologic condition seen frequently in primary care. See More Multimedia »
Diagnostic Champions’ Challenge on Consultant Live Test your diagnostic skills and knowledge by quickly identifying and assessing various mental health disorders. The Psychiatric Times Diagnostic Champions' Challenge is meant to educate and entertain. Test your clinical acumen in this activity that is sure to make you think.…
ASH 2013 American Society of Hypertension Highlights of key presentations at the ASH Annual Scientific Meeting in San Francisco are available here.
AIBD 2012 Advances in Inflammatory Bowel Diseases The editors of ConsultantLive bring you updates from the 2010 Advances in Inflammatory Bowel Diseases conference in Hollywood, Florida.
ACG 2012 American College of Gastroenterology Highlights of key presentations at the ACG Annual Scientific Meeting in Las Vegas, Nevada are available here.
ACG 2011 American College of Gastroenterology Highlights of key presentations at the ACG Annual Scientific Meeting in Washington, DC are available here.
MGMA 2011 Medical Group Management Association Updates, policy news, and advice on practice management from the MGMA Annual Conference.
ACC 2011 American College of Cardiology News, resources, and updates from the ACC's 60th Annual Scientific Session in New Orleans are available here.
ACG 2010 American College of Gastroenterology Highlights of key presentations at the ACG 75th Annual Scientific Meeting in San Antonio are available here.
AIBD 2010 Crohn’s & Colitis Foundation of America The editors of ConsultantLive bring you updates from the 2010 Advances in Inflammatory Bowel Diseases conference in Hollywood, Florida.
The associated pain is often described as burning. In most cases of CRPS, sudomotor and vascular changes will occur, most notably edema and changes in blood flow resulting in skin temperature changes in the affected body part.
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The etiology of this often baffling pain disorder remains unknown to much of the medical community and causes extreme suffering among those afflicted. Here, an overview of what we do know—and have yet to learn.
At a recent retreat I led for doctors on the brink of total burnout, all hands went up when I asked if anyone had lost a colleague to suicide. All but one hand was raised to confirm having considered their own suicide. Many in the room had signed up for this weekend hoping to learn how to avoid becoming the colleague behind someone else's raised hand.
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.
Growing HIPAA Threat – Ignore Windows XP at Your Own Peril Marion K. Jenkins, May 21, 2013 Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.
Three Areas to Reduce Costs at Your Medical Practice Greg Mertz, May 19, 2013 By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.
Dos and Don’ts for Starting a Physician Blog Michael Woo-Ming, MD, May 18, 2013 Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.
This man's right chest shows partial absence of the pectoralis major muscle—part of Poland syndrome, which consists of which anomalies? 
A variety of common and serious dermatologic complaints are encountered in primary care practice. This compact slide show provides visual presentations of skin problems that may be seen on the face.
The top men's health concerns include heart disease, cancer, accidents, and chronic lower respiratory diseases. This compact slide show provides visual presentations of other clinical problems that pose a threat to men and that might be seen in primary care practice.
Older patients may have 6 or more diagnosable disorders, which can complicate diagnosis and treatment. This compact slide show provides visual presentations of various problems.
PCPs for sleep apnea?; mental illness and obesity; norovirus on the rise; global sodium overdose.
Antidepressants and preterm birth; annual BP check?; early stroke; niacin and heart disease; diabetes drug trouble. 
Test your clinical skills in this week’s 5-question quiz. 
Test your clinical skills in this week’s 5-question quiz. 
Test your clinical skills in this week’s 5-question quiz. 
The mother of an 8-year-old girl sought medical care for her daughter who had complained of intermittent chest pain for 3 days. The patient denied nausea, vomiting, and diarrhea. There was no shortness of breath, chills, fever, or diaphoresis.
Persistent bloating, epigastric discomfort, and increased gastric acidity prompted a 47-year-old woman to seek medical care. Gastroesophageal reflux disease was diagnosed; antacids and H2-blockers were prescribed but provided no relief.
For the past 3 years, comedones, papules, pustules, and nodules had been erupting on the face of a 16-year-old boy. Acne vulgaris had been diagnosed. Topical tetracycline cream and oral tetracycline were used without success.
Four pink nodules appeared in a linear array on the proximal extensor right forearm of a 77-year-old man. The asymptomatic lesions, which ranged from 0.5 to 1.0 cm in diameter, had been present for 2 months.
At a recent retreat I led for doctors on the brink of total burnout, all hands went up when I asked if anyone had lost a colleague to suicide. All but one hand was raised to confirm having considered their own suicide. Many in the room had signed up for this weekend hoping to learn how to avoid becoming the colleague behind someone else's raised hand.
